Individual provider Active NPI

Leigh S. Kimberg, MD

  • Public Health & General Preventive Medicine Physician
  • San Francisco, CA
National Provider Identifier
1093847022
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X
License
G76137 Issued in CA
Practice address
1301 Pierce St
Maxine Hall Health Center
San Francisco, CA 94115-4005
Phone
(415) 292-1300
Fax
(415) 928-6487
NPI assigned
Mar 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X G76137 CA Primary

Addresses

Primary practice location

1301 Pierce St
Maxine Hall Health Center
San Francisco, CA 94115-4005

Mailing address

1301 Pierce St
Maxine Hall Health Center
San Francisco, CA 94115-4005
Phone (415) 292-1300

Other identifiers 1

IdentifierTypeStateIssuer
020651OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090813000272 CA Practitioner - Internal Medicine 5496809204 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G76137CAMDPublic Health & General Preventive Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco Current Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince May 17, 2014 Accepting new patients
City and County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients
University of California SFGH Medical Group CurrentSince May 17, 2014 Accepting new patients
City & County of San Francisco CurrentSince Nov 10, 2019 Accepting new patients

Locations

1490 Mason St
San Francisco, CA 94133
Phone (415) 364-7600

234 Eddy St
San Francisco, CA 94102
Phone (415) 353-5095

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

1001 Potrero Ave
Bldg 20
San Francisco, CA 94110
Phone (415) 206-8524

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

1351 24th Ave
San Francisco, CA 94122
Phone (415) 682-1900

3850 17th St
San Francisco, CA 94114
Phone (415) 487-7500

1301 Pierce St
San Francisco, CA 94115
Phone (415) 292-1300

1525 Silver Ave
San Francisco, CA 94134
Phone (415) 657-1700

2401 Keith St
San Francisco, CA 94124
Phone (415) 671-7000

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093847022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PIERCE ST",
            "address_2": "MAXINE HALL HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154005",
            "telephone_number": "415-292-1300",
            "fax_number": "415-928-6487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PIERCE ST",
            "address_2": "MAXINE HALL HEALTH CENTER",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941154005",
            "telephone_number": "415-292-1300",
            "fax_number": "415-928-6487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIMBERG",
        "first_name": "LEIGH",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G76137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SFGH INTERNAL USE ONLY-COMMERCIAL NUMBER",
            "identifier": "020651",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.